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Article: Laparoscopic nephrectomy: an early experience at Queen Mary Hospital

TitleLaparoscopic nephrectomy: an early experience at Queen Mary Hospital
瑪麗醫院進行腹腔鏡腎臟切除術的早期經驗
Authors
Issue Date2005
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hk
Citation
Hong Kong Medical Journal, 2005, v. 11 n. 1, p. 7-11 How to Cite?
AbstractOBJECTIVE: To report our early experience of laparoscopic nephrectomy. DESIGN: Prospective data collection. SETTING: Queen Mary Hospital, Hong Kong. PATIENTS: Transperitoneal laparoscopic nephrectomies were performed on 40 patients between July 1997 and December 2002. MAIN OUTCOME MEASURES: Demographic and perioperative data including operating time, blood loss, postoperative pain score, analgesic requirement, complications, time to resume oral intake, ambulatory state, and length of hospital stay. RESULTS: Laparoscopic nephrectomy was performed for 21 solid renal masses, five transitional cell carcinomas, and 14 non-functioning kidneys. Seven (17.5%) patients had previous abdominal surgery. The mean body mass index of the patients was 23.9 kg/m(2) and the mean operating time was 229 minutes. The mean estimated blood loss was 370 mL, and two patients required conversion to open surgery because of intra-operative bleeding. Other complications include diaphragmatic injury, port-site bleeding, chyle leakage, bleeding peptic ulcer, and myocardial ischaemia. The postoperative mean analgesic requirement was 26 mg of morphine sulphate equivalent. The mean time for patients to resume oral diet and full ambulation was 1.3 and 2.8 days, respectively, and the mean length of hospital stay was 6.7 days. The mean diameter of the solid renal tumour was 4.1 cm and the surgical margins of all resected specimen for malignant tumours were negative. CONCLUSION: Laparoscopic nephrectomy is a safe and efficacious approach for resection of benign non-functioning kidneys and malignant renal tumours.
Persistent Identifierhttp://hdl.handle.net/10722/45426
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorCheung, MCen_HK
dc.contributor.authorLee, FCWen_HK
dc.contributor.authorChu, SSMen_HK
dc.contributor.authorLeung, SYLen_HK
dc.contributor.authorWong, BBWen_HK
dc.contributor.authorHo, KLen_HK
dc.contributor.authorTam, PCen_HK
dc.date.accessioned2007-10-30T06:25:13Z-
dc.date.available2007-10-30T06:25:13Z-
dc.date.issued2005en_HK
dc.identifier.citationHong Kong Medical Journal, 2005, v. 11 n. 1, p. 7-11en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45426-
dc.description.abstractOBJECTIVE: To report our early experience of laparoscopic nephrectomy. DESIGN: Prospective data collection. SETTING: Queen Mary Hospital, Hong Kong. PATIENTS: Transperitoneal laparoscopic nephrectomies were performed on 40 patients between July 1997 and December 2002. MAIN OUTCOME MEASURES: Demographic and perioperative data including operating time, blood loss, postoperative pain score, analgesic requirement, complications, time to resume oral intake, ambulatory state, and length of hospital stay. RESULTS: Laparoscopic nephrectomy was performed for 21 solid renal masses, five transitional cell carcinomas, and 14 non-functioning kidneys. Seven (17.5%) patients had previous abdominal surgery. The mean body mass index of the patients was 23.9 kg/m(2) and the mean operating time was 229 minutes. The mean estimated blood loss was 370 mL, and two patients required conversion to open surgery because of intra-operative bleeding. Other complications include diaphragmatic injury, port-site bleeding, chyle leakage, bleeding peptic ulcer, and myocardial ischaemia. The postoperative mean analgesic requirement was 26 mg of morphine sulphate equivalent. The mean time for patients to resume oral diet and full ambulation was 1.3 and 2.8 days, respectively, and the mean length of hospital stay was 6.7 days. The mean diameter of the solid renal tumour was 4.1 cm and the surgical margins of all resected specimen for malignant tumours were negative. CONCLUSION: Laparoscopic nephrectomy is a safe and efficacious approach for resection of benign non-functioning kidneys and malignant renal tumours.en_HK
dc.format.extent363524 bytes-
dc.format.extent756903 bytes-
dc.format.extent3517 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hken_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshLaparoscopyen_HK
dc.subject.meshNephrectomy - methodsen_HK
dc.subject.meshIntraoperative Complicationsen_HK
dc.subject.meshKidney Neoplasms - surgeryen_HK
dc.subject.meshUreteral Obstruction - surgeryen_HK
dc.titleLaparoscopic nephrectomy: an early experience at Queen Mary Hospitalen_HK
dc.title瑪麗醫院進行腹腔鏡腎臟切除術的早期經驗zh_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=11&issue=1&spage=7&epage=11&date=2005&atitle=Laparoscopic+nephrectomy:+an+early+experience+at+Queen+Mary+Hospitalen_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid15687510en_HK
dc.identifier.scopuseid_2-s2.0-13844280017-
dc.identifier.hkuros97219-

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